Geriatric patients scheduled for surgery under general anesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged between 65 and 85 years old scheduled for surgery under general anesthesia who are literate, able to write, and capable of following instructions.
Exclusion criteria
Exclusion criteria: 1.- Patients with dementia or chronic neurodegenerative diseases that interfere with cognitive function. 2.- Patients unable to follow instructions or commands during the study period. 3.-Patients with cognitive impairment, defined as a MoCA score <10. 4.- Patients who cannot undergo MoCA assessment at 24 hours postoperative due to transfer to the intensive care unit and hemodynamically unstable patients during the perioperative period, defined as requiring vasopressor medications with or without endotracheal intubation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Exploring the correlation between changes in cognitive status evaluated using the Montreal Cognitive Assessment (MoCA) one week before surgery and 24 hours postoperatively, with word search puzzle exercises in geriatric patients undergoing general anesthesia | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.- Exploring the correlation between changes in different domains of the Montreal Cognitive Assessment (MoCA);(1) Memory, (2) Executive Functioning, (3) Attention, (4) Language, (5) Visuospatial, and (6) Orientation, evaluated one week before surgery and 24 hours postoperatively, with word search puzzle exercises in geriatric patients undergoing general anesthesia. 2.- Determining the correlation between anesthesia duration, educational level, type of anesthesia, and type of surgery with changes in cognitive function assessed using the Montreal Cognitive Assessment (MoCA) one week before surgery and 24 hours postoperatively. | — |
Countries
North America
Contacts
Instituto Mexicano del Seguro Social, Centro Medico Nacional, Hospital de Especialidades "La Raza" Anesthesioly department